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Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey
  1. Katrien Vanderwee1,
  2. Tom Defloor1,
  3. Dimitri Beeckman1,2,
  4. Liesbet Demarré1,
  5. Sofie Verhaeghe1,
  6. Thérèse Van Durme3,
  7. Micheline Gobert3
  1. 1Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Gent, Belgium
  2. 2Department of Bachelor in Nursing, University College Arteveldehogeschool Ghent, Gent, Belgium
  3. 3Interdisciplinary Research Unit in Nursing Clinics and Sciences, Research Institute in Health and Society, Department of Public Health, Faculty of Medicine, Catholic University of Louvain, Brussels, Belgium
  1. Correspondence to Katrien Vanderwee, Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, UZ Blok A—2nd floor, De Pintelaan 185, Gent 9000, Belgium; katrien.vanderwee{at}ugent.be

Abstract

Introduction The development of a pressure ulcer is an adverse event and is often avoidable if adequate preventive measures are applied. No large-scale data, based on direct patient observations, are available regarding the pressure ulcer preventive interventions used in hospitals.

Purpose The aim of this study was to obtain insight into the adequacy of interventions used to prevent pressure ulcers in Belgian hospitals.

Methods A cross-sectional, multi-centre pressure ulcer prevalence study was performed in Belgian hospitals. The methodology used to measure pressure ulcer prevalence was developed by the European Pressure Ulcer Advisory Panel. The data collection instrument includes five categories of data: general data, patient data, risk assessment, skin observation and prevention.

Results The total sample consisted of 19 968 patients. The overall prevalence of pressure ulcers Category I–IV was 12.1%. Only 10.8% of the patients at risk received fully adequate prevention in bed and while sitting. More than 70% of the patients not at risk received some pressure ulcer prevention while lying or sitting.

Concusion Generally, there is a limited use of adequate preventive interventions for pressure ulcers in hospitals, which reflects a rather low quality of preventive care. The implementation of pressure ulcer guidelines requires more attention. The pressure ulcer prevention used in practice should be re-evaluated on a regular basis.

  • Pressure ulcer
  • prevention
  • hospitals
  • prevalence
  • adverse event
  • quality of care

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Footnotes

  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the Ghent University Hospital.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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